Inpatient and Outpatient Specialty Care Clinical Pathway to Triage Tonsillectomy and/or Adenotonsillectomy Patients with or without Preoperative Polysomnography
Child Undergoing Tonsillectomy and/or Adenotonsillectomy with or without Pre-Operative Polysomnography
- Comorbid conditions that increase risk for complications intra/postoperatively
- Consider sleep study
- Down syndrome
- Craniofacial anomalies
- Neuromuscular disease
- Chronic lung disease
- Sickle cell disease
- Metabolic disease
- BMI ≥ 95th percentile
Preoperative Evaluation
- ENT Office Visit
- History and Physical
- Review polysomnography results if applicable
- Assessment by Anesthesia Resource Center (ARC)
Ambulatory Surgical Center (ASC) | KOPH | PHL Day Surgery | PHL | |
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Age
Comorbid Conditions
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Selection Criteria | ||||
Polysomnography Results |
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Ambulatory Surgery Center
PHL or KOPH Day Surgery
PHL or KOPH Inpatient
Post-Surgery/Perianesthesia Care Unit
Determine Disposition
Determine Disposition
Inpatient Surgical Unit
PICU
Posted: July 2016
Last Revised: March 2025
Last Revised: March 2025
Evidence
- Clinical Practice Guideline: Tonsillectomy in Children (Update)
- Risk Assessment for Respiratory Complications in Paediatric Anesthesia: a Prospective Cohort Study
- Predictors of Perioperative Complications in Higher Risk Children after Adenotonsillectomy for Obstructive Sleep Apnea: A Prospective Study
- Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome
- Clinical Practice Guideline: Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy in Children